Our Philosophy

You have incredible potential.

To realize what matters most—personally, professionally, or physically—you must proactively manage your most valuable asset:

Your health.

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Health Management Medicine: A Discipline of Care for Modern Life

Traditional medicine was built to treat disease. Even at its best, traditional primary care was not designed for:

  • Long, complex, and full life spans
  • Prevention and reversal of chronic, lifestyle-driven disease
  • Strategic guidance through transitions, goals, or uncertainty
  • Personalized data and self experimentation
  • Fragmented care environments and siloed specialists
  • Interconnected mental, metabolic, and musculoskeletal health needs

At VIM, we serve as your primary care doctor, but reimagined for a different era.

This is not biohacking. This is not functional medicine. And it’s not concierge care that simply trades access for more of the same. This is Health Management Medicine, a physician-led model designed for longer lives, strategic goals, and integrated support.

We replace traditional primary care with something more capable:

  • Continuity across time, not just visits
  • Clinical leadership that integrates diagnostics, lifestyle, and long-term planning
  • Responsiveness to life changes, early warning signs, and complex decisions
  • Personalized medical care across mental, metabolic, musculoskeletal, and emotional domains
  • True ownership of your health trajectory—no silos, no handoffs, no guesswork

You deserve more. To be at your best, you must demand care that is:

  • Personalized to your physiology, psychology, and priorities
  • Proactive—not reactive or routine
  • Integrated—not scattered across systems, specialists, and guesswork
  • Courageous in helping you express health as a lived value

Your healthcare doesn’t do this.

We do.

Performance Medicine: How We Practice the Process of Health

Within the larger framework of Health Management Medicine, Dr. Rich Joseph has pioneered a care style called Performance Medicine, a blend of evidence-informed medical care, behavioral science, and structured stress + recovery planning to help clients actively grow their capacity for life.

The objectives of Performance Medicine include the following:

Increasing adaptive capacity
There is no steady-state. By applying strategic stress—physically, cognitively, emotionally—and pairing it with calibrated recovery, we help clients build resilience across all domains of life
Postponing decline and preventing disease
Entropy is inevitable. But decline doesn’t have to be. Through personalized screening, tactical behavior design, and early intervention, we preserve function and expand healthspan.
Redefining longevity through contribution
The aim of better health is not ego or fear. It’s service. We help clients steward their energy, attention, and vitality so they can show up fully—for their families, their work, and the world.
Performance Medicine is how we operationalize our core belief:

If you’re not growing, you’re atrophying.